605 Dietitian, Llc is a
Dietitian, Registered based in Harrisburg, South Dakota. 605 Dietitian, Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
276 Tiger Way Unit 1, Harrisburg, South Dakota. It can be reached at their office (for appointments etc.) via phone at
(605) 870-1036.
NPI number for 605 Dietitian, Llc is 1700415296 and their current mailing address is 904 E Donlin St, Miller, South Dakota. 605 Dietitian, Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1700415296.
Healthcare Provider's Profile
| Full Name | 605 Dietitian, Llc |
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| Type | Facility |
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| Speciality | Dietitian, Registered |
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| Location | 276 Tiger Way Unit 1, Harrisburg, South Dakota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1700415296
- Provider Enumeration Date: 04/06/2020
- Last Update Date: 11/10/2021
Medical Identifiers
Medical identifiers for 605 Dietitian, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700415296 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. 605 Dietitian, Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
605 Dietitian, Llc
904 E Donlin St,
Miller, SD 57362-1654
Ph: (605) 870-1036 | 605 Dietitian, Llc
276 Tiger Way Unit 1,
Harrisburg, SD 57032-2506
Ph: (605) 870-1036 |
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